CTR066291_Contract_Amendment_3.pdf

CONTRACT AMENDMENT

Arizona Department of Economic Security

1789 W Jefferson Street, Mail Drop 1541, Phoenix, AZ 85007

CONTRACT NUMBER: AMENDMENT NUMBER:

CTR066291 Three (3)

DESCRIPTION/ LABEL: Housing Support Services – Pima County and Balance of State

CONTRACTOR NAME: Pima County Health Department

THE ABOVE REFERENCED CONTRACT IS HEREBY MODIFIED AS FOLLOWS:

Pursuant to the Special Terms and Conditions, Section 26.0, Levels of Service, the purpose of this amendment is to add the Initial Itemized Service Budget for the period of July 1, 2024, through June 30, 2025, in the amount of $197,543.59.

Therefore, the Itemized Service Budget for the period of July 1, 2024, through June 30, 2025, is added and attached.

ALL OTHER REQUIREMENTS, SPECIFICATIONS, AND TERMS AND CONDITIONS REMAIN UNCHANGED

ACKNOWLEDGEMENT AND AUTHORIZATION

This Amendment shall be fully executed by means of electronic approval in APP.

TOTAL FTE Level Service Code

(O, S, R, HP)

Position Title & Description ONLY include personnel who provide direct services or support

TOTAL COST ADES COST

TOTAL # of FTEs: 0.00 0.00

Service Code (R, HP only) Item/Basis TOTAL COST ADES COST

0.00 0.00

Service Code (R, HP only) Item/Basis TOTAL COST ADES COST

0.00 0.00

Service Code (S only) Item/Basis TOTAL COST ADES COST

S Supportive Services 10,000.00

S Client Transportation 5,000.00

S Operating Expense 500.00

15,500.00 0.00

Service Code

(O) only Item/Basis TOTAL COST ADES COST

EXHIBIT N

ITEMIZED SERVICE BUDGET

CONTRACT SERVICE(S): Emergency Shelter Services ORGANIZATION: Pima County

CONTRACT PERIOD: 7/1/2024 - 6/30/2025 CONTRACT NUMBER: CTR066291

SERVICE CODES: O = Street Outreach S = Emergency Shelter R = Rapid Re-housing HP = Homeless Prevention

1) TOTAL PERSONNEL & EMPLOYEE RELATED EXPENSES FOR DIRECT SERVICES (One Service Code Per Line) Compensation directly related to carrying out the activities of the identified Service Code as well as other costs such as insurance, workers compensation, etc.

TOTAL:

2) HOUSING VOUCHERS FOR RAPID RE-HOUSING & HOMELESS PREVENTION

5) TOTAL ESSENTIAL SERVICES FOR STREET OUTREACH

Short term rental assistance = Fair Market rent and utility payments up to 100 percent for up to three months. Medium term rental assistance less up to 30 percent of client income, whichever provider payment is less, contingent upon quarterly client re-assessment and income verification. Payment of rental arrears consists of a one-time payment for up to 6 months of rent in arrears, including late fees.

TOTAL:

3) TOTAL RAPID RE-HOUSING AND/OR HOMELESS PREVENTION STABILIZATION & FINANCIAL ASSISTANCE:

Housing inspections, assessment of housing in compliance with ESG requirements (i.e., rent reasonableness, habitability standards, lead based paint evaluation), rental application fees, security deposits, last month's rent, utility deposits, payments of utility arrears for up to six (6) months, legal fees for landlord/tenant matters, credit repair, transportation, miscellaneous moving expenses to include truck rental, to support homeless individuals and families in order to move participant as quickly as possible into permanent housing and to achieve stability in that housing or achieve stability in current housing. These are non-employee expenses.

TOTAL:

4) TOTAL ESSENTIAL SERVICES FOR EMERGENCY SHELTER

Case Management, child care, education services, employment assistance, life skills training, transportation, and services for special populations (e.g., services for people living with HIV/AIDS, homeless youth, and victim services). These are non-employee expenses.

Engagement, case management, emergency health and mental health services, and transportation.

TOTAL:

0.00 0.00

Service Code (S only) Item/Basis TOTAL COST ADES COST

S utilities 65,000.00 35,000.00

S janitorial/linens 70,000.00 15,000.00

S food 175,000.00 0.00

S equipment 10,000.00 10,000.00

S furnishings 56,765.00 40,000.00

S supplies 55,000.00 41,335.09

S security 128,000.00 20,000.00

S maintenance 50,000.00 25,000.00

S lease 385,000.00 0.00

994,765.00 186,335.09

Item/Basis TOTAL COST ADES COST

TOTAL: 0.00 0.00

Service Code

(O, S, R, HP)

Indirect Cost Rate 10% de minimus rate, Federally negotiated rate, or other TOTAL COST ADES COST

S 10% de minimus rate 98,600.00 11,208.50

98,600.00 11,208.50

Admin % and Basis

(ONLY UP TO 7.5% OF THE AWARD) TOTAL COST ADES COST

TOTAL: 0.00 0.00

1,108,865.00 197,543.59

7) HMIS EXPENSES

Purchasing or leasing computer system equipment, obtaining technical support; paying a portion of utilities, and high-speed data transmission necessary to operate or contribute data to the HMIS; paying salaries for operating HMIS, i.e. data entry, monitoring and reviewing data quality, and data analysis; training including costs of travel to attend HUD-sponsored and HUD-approved training on HMIS; paying participation fees charged by the HMIS Lead, if the subrecipient is not the HMIS Lead.

TOTAL:

TOTAL:

6) TOTAL SHELTER OPERATIONS EXPENSES

Maintenance, rent, security, fuel, equipment, insurance, utilities, food, furnishings, supplies necessary for operation of a Emergency Shelter. Eligible costs may also include hotel/motel vouchers for individuals or families experiencing homelessness when congregant Emergency Shelter is unavailable.

TOTAL:

8) INDIRECT COSTS

Please review HUD's Indirect Cost Toolkit for guidance on Indirect Costs and the Emergency Solutions Grants (ESG) program. Copy and paste the link into your browser:

https://files.hudexchange.info/resources/documents/Indirect-Cost-Toolkit-for-CoC-and-ESG-Programs.pdf. Your agency is responsible for under-standing how Indirect Costs are calculated and charged under the ESG program. If your agency is billing a Federally-Negotiated Indirect Cost Rate, your agency must provide a copy of the rate

9) ADMIN COSTS **ONLY LOCAL GOVERNMENTS MAY REQUEST ADMIN - NOT REQUIRED**

Only Local Governments may request up to 7.5% in Administrative Costs; it is not required. May use for the payment of administrative costs related to the planning and execution of ESG activities. This does not include staff and overhead costs directly related to carrying out activities eligible under § 576.101 through § 576.107, because those costs are eligible as part of those activities. Eligible administrative costs include: 1) General management, oversight and coordination, 2) Training on ESG requirements, 3) Consolidated plan, 4) Environmental review. For specific requirements and eligible costs, see 24 CFR Part 576.108

Total Costs by Above Budget Categories

TOTAL COST ADES COST

8)

9) 1,108,865.00 197,543.59

Manually Calculate Total Rapid Re-housing (R) COST

11)

12) Total HMIS COST 0.00 0.00

13) **LOCAL GOVERNMENTS ONLY** Total ADMIN COST 0.00 0.00

14) TOTAL COSTS BY SERVICE CODES: 1,108,865.00 197,543.59

14) REVENUE SOURCES: TOTAL COST ADES COST

ADES-HOMELESS 197,543.59 197,543.59

Government Funding - City 0.00

Government Funding - County 0.00

709,764.41

Gov. Funding - Federal 201,557.00

Foundation & Corporate Support 0.00

United Way 0.00

Contributions / Donations 0.00

Special Events / Fundraising 0.00

Legacies / Bequests / Investments 0.00

Program Service Fees & Reimbursements 0.00

In-Kind Support 0.00

Other Revenue* 0.00

* Identify Other Revenue Sources Here TOTAL REVENUE*: 1,108,865.00 197,543.59

Manually Calculate Total Street Outreach (O) COST

Manually Calculate Total Shelter Operations (S) COST

10)

Manually Calculate total Homeless Prevention (HP) COST

Government Funding – State (Do not include ADES Homeless Program funding listed above)

*Total Revenue must equal the Total Cost